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To file a claim, you must submit a Medi-Cal Claim Form for Beneficiary Reimbursement. The claim form must be filled out in blue or black ink; The claim form must have an original signature (no copies will be accepted); The Claim Form must include: A photo copy of your Medi-Cal Beneficiary Identification Card (BIC).
California Health and Wellness Plan acknowledges electronically submitted claims, whether or not the claims are complete, within two business days via a 277CA to the clearinghouse following receipt. California Health and Wellness Plan acknowledges paper claims within 15 business days following receipt for Medi-Cal
Payment and Billing Questions If you have billing issues or questions, please contact the Medi-Cal Provider Service Center at (800) 541-5555 ​(outside of California, please call (​916) 636-1980).
Original (or initial) Medi-Cal claims must be received by the FI within six months following the month in which services were rendered. This requirement is referred to as the six-month billing limit.
(800) 977-2273​ Medi-Cal Rx ​Members and Providers: If you have a question, need help, or need to report a problem, please call (800) 977-2273 for our Medi-Cal Rx Customer Service Center (CSC)​. CSC hours are available 24 hours a day, 7 days a week, 365 days a year.
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Prior Authorization Overview Medi-Cal beneficiaries (patients) receive health care services from medical, pharmacy, or dental providers enrolled in the Medi-Cal Program. Providers must receive authorization from Medi-Cal in order to provide and/or be paid for some of these services.
You can visit your local county human services office. You can use your information to confirm your Medi-Cal eligibility and get a temporary identification card. This will allow you to get services until your enrollment is complete.
(800) 541-5555 (outside of California, please call 916-636-1980) or online at Contact Medi-Cal. For the most current information about billing and claims submission, refer to the Medi-Cal Newsroom area on the Medi-Cal home page.
The DHCS guidance clarifies the various obligations of Medi-Cal plans under state and federal law, which include: That plans and their subcontractors pay any uncontested claim within 30 working days of claim submission. A provider is entitled to interest when an uncontested claim is not paid within 30 working days.

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